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That Discomfort You're Feeling (Maybe) Is Grief (1 Viewer)

Joe Bryant

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@McBokonon shared this with me and I thought it might make a good thread.

I think it's spot on. And I also think it's good to talk about it and "name" it. I'd add the "maybe" in there as I don't want to presume how everyone feels. But this is good. 

That Discomfort You're Feeling Is Grief

Some of the HBR edit staff met virtually the other day — a screen full of faces in a scene becoming more common everywhere. We talked about the content we’re commissioning in this harrowing time of a pandemic and how we can help people. But we also talked about how we were feeling. One colleague mentioned that what she felt was grief. Heads nodded in all the panes.

If we can name it, perhaps we can manage it. We turned to David Kessler for ideas on how to do that. Kessler is the world’s foremost expert on grief. He co-wrote with Elisabeth Kübler-Ross On Grief and Grieving: Finding the Meaning of Grief through the Five Stages of Loss. His new book adds another stage to the process, Finding Meaning: The Sixth Stage of Grief. Kessler also has worked for a decade in a three-hospital system in Los Angeles. He served on their biohazards team. His volunteer work includes being an LAPD Specialist Reserve for traumatic events as well as having served on the Red Cross’s disaster services team. He is the founder of www.grief.com, which has over 5 million visits yearly from 167 countries.

Kessler shared his thoughts on why it’s important to acknowledge the grief you may be feeling, how to manage it, and how he believes we will find meaning in it. The conversation is lightly edited for clarity.

HBR: People are feeling any number of things right now. Is it right to call some of what they’re feeling grief?

Kessler: Yes, and we’re feeling a number of different griefs. We feel the world has changed, and it has. We know this is temporary, but it doesn’t feel that way, and we realize things will be different. Just as going to the airport is forever different from how it was before 9/11, things will change and this is the point at which they changed. The loss of normalcy; the fear of economic toll; the loss of connection. This is hitting us and we’re grieving. Collectively. We are not used to this kind of collective grief in the air.

You said we’re feeling more than one kind of grief?

Yes, we’re also feeling anticipatory grief. Anticipatory grief is that feeling we get about what the future holds when we’re uncertain. Usually it centers on death. We feel it when someone gets a dire diagnosis or when we have the normal thought that we’ll lose a parent someday. Anticipatory grief is also more broadly imagined futures. There is a storm coming. There’s something bad out there. With a virus, this kind of grief is so confusing for people. Our primitive mind knows something bad is happening, but you can’t see it. This breaks our sense of safety. We’re feeling that loss of safety. I don’t think we’ve collectively lost our sense of general safety like this. Individually or as smaller groups, people have felt this. But all together, this is new. We are grieving on a micro and a macro level.

What can individuals do to manage all this grief?

Understanding the stages of grief is a start. But whenever I talk about the stages of grief, I have to remind people that the stages aren’t linear and may not happen in this order. It’s not a map but it provides some scaffolding for this unknown world. There’s denial, which we say a lot of early on: This virus won’t affect us. There’s anger: You’re making me stay home and taking away my activities. There’s bargaining: Okay, if I social distance for two weeks everything will be better, right? There’s sadness: I don’t know when this will end. And finally there’s acceptance. This is happening; I have to figure out how to proceed.

Acceptance, as you might imagine, is where the power lies. We find control in acceptance. I can wash my hands. I can keep a safe distance. I can learn how to work virtually.

When we’re feeling grief there’s that physical pain. And the racing mind. Are there techniques to deal with that to make it less intense?

Let’s go back to anticipatory grief. Unhealthy anticipatory grief is really anxiety, and that’s the feeling you’re talking about. Our mind begins to show us images. My parents getting sick. We see the worst scenarios. That’s our minds being protective. Our goal is not to ignore those images or to try to make them go away — your mind won’t let you do that and it can be painful to try and force it. The goal is to find balance in the things you’re thinking. If you feel the worst image taking shape, make yourself think of the best image. We all get a little sick and the world continues. Not everyone I love dies. Maybe no one does because we’re all taking the right steps. Neither scenario should be ignored but neither should dominate either.

Anticipatory grief is the mind going to the future and imagining the worst. To calm yourself, you want to come into the present. This will be familiar advice to anyone who has meditated or practiced mindfulness but people are always surprised at how prosaic this can be. You can name five things in the room. There’s a computer, a chair, a picture of the dog, an old rug, and a coffee mug. It’s that simple. Breathe. Realize that in the present moment, nothing you’ve anticipated has happened. In this moment, you’re okay. You have food. You are not sick. Use your senses and think about what they feel. The desk is hard. The blanket is soft. I can feel the breath coming into my nose. This really will work to dampen some of that pain.

You can also think about how to let go of what you can’t control. What your neighbor is doing is out of your control. What is in your control is staying six feet away from them and washing your hands. Focus on that.

Finally, it’s a good time to stock up on compassion. Everyone will have different levels of fear and grief and it manifests in different ways. A coworker got very snippy with me the other day and I thought, That’s not like this person; that’s how they’re dealing with this. I’m seeing their fear and anxiety. So be patient. Think about who someone usually is and not who they seem to be in this moment.

One particularly troubling aspect of this pandemic is the open-endedness of it.

This is a temporary state. It helps to say it. I worked for 10 years in the hospital system. I’ve been trained for situations like this. I’ve also studied the 1918 flu pandemic. The precautions we’re taking are the right ones. History tells us that. This is survivable. We will survive. This is a time to overprotect but not overreact.

And, I believe we will find meaning in it. I’ve been honored that Elisabeth Kübler-Ross’s family has given me permission to add a sixth stage to grief: Meaning. I had talked to Elisabeth quite a bit about what came after acceptance. I did not want to stop at acceptance when I experienced some personal grief. I wanted meaning in those darkest hours. And I do believe we find light in those times. Even now people are realizing they can connect through technology. They are not as remote as they thought. They are realizing they can use their phones for long conversations. They’re appreciating walks. I believe we will continue to find meaning now and when this is over.

What do you say to someone who’s read all this and is still feeling overwhelmed with grief?

Keep trying. There is something powerful about naming this as grief. It helps us feel what’s inside of us. So many have told me in the past week, “I’m telling my coworkers I’m having a hard time,” or “I cried last night.” When you name it, you feel it and it moves through you. Emotions need motion. It’s important we acknowledge what we go through. One unfortunate byproduct of the self-help movement is we’re the first generation to have feelings about our feelings. We tell ourselves things like, I feel sad, but I shouldn’t feel that; other people have it worse. We can — we should — stop at the first feeling. I feel sad. Let me go for five minutes to feel sad. Your work is to feel your sadness and fear and anger whether or not someone else is feeling something. Fighting it doesn’t help because your body is producing the feeling. If we allow the feelings to happen, they’ll happen in an orderly way, and it empowers us. Then we’re not victims.

In an orderly way?

Yes. Sometimes we try not to feel what we’re feeling because we have this image of a “gang of feelings.” If I feel sad and let that in, it’ll never go away. The gang of bad feelings will overrun me. The truth is a feeling that moves through us. We feel it and it goes and then we go to the next feeling. There’s no gang out to get us. It’s absurd to think we shouldn’t feel grief right now. Let yourself feel the grief and keep going.

 
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Thanks for posting. I have already experienced anticipatory grief and have said almost formal goodbyes to my parents, which might seem like an overreaction, but is better than doing it on a hospital gurney while potentially wheeled around in pain to a place where you'll possibly never see the person again. I constantly have someone tell me to avoid the WAGs - worry, anxiety, guilt; and to only focus on things you can control like the present.

I suppose that helps a bit, but it is difficult not to think of uncertain futures, of certain fates from certain things. That it's all up to probability and chance is something so large when things mean so much that it's almost impossible for the mind to comprehend.

Especially loss and death. Loss of a parent or loved one is so indescribably hard for everyone. Everyone grieves, just in their own way. The duration and intensity varies from person to person, though, and the more sensitive among us feel that anticipatory grief greatly. It is powerful. Especially for those of us without the comfort of faith. Then it's bleak. There is a reason "angst" follows so fluidly from "existential." Finding the "meaning" he speaks of becomes difficult if all things are accidental and finite. Such is the dilemma of the age of doubt, it would seem.

Anyway, I'm rambling. Thanks for posting that.

 
Throughout this whole unconscionable time...I’ve thought that this was 9/11 in slow motion and on a much larger scale.

For all intents and purposes, humanity has been poisoned and watching the daily progression of this godforsaken virus and its path of destruction can simply be overwhelming.

At the same time, I watch these health workers rush to the front lines...they’re not soldiers, just professionals in a different field who have placed everything else in their lives on hold, putting their own well being at great risk.  It’s inspiring - overwhelmingly so as well.

I don’t have a professional skill set that can help in these times...probably most of us don’t.  And to be frank, there’ll be a lot of ‘clean-up’ for us all to undertake on many different fronts when the last of the actual virus has finally been eradicated.  It’ll be at that time when we can look within ourselves to bring the best of our human skill sets to our recovery.

For me...I know I’ll be asking ‘what can I do, that I didn’t do before’.

 
Thanks for posting. I have already experienced anticipatory grief and have said almost formal goodbyes to my parents, which might seem like an overreaction, but is better than doing it on a hospital gurney while potentially wheeled around in pain to a place where you'll possibly never see the person again. I constantly have someone tell me to avoid the WAGs - worry, anxiety, guilt; and to only focus on things you can control like the present.

I suppose that helps a bit, but it is difficult not to think of uncertain futures, of certain fates from certain things. That it's all up to probability and chance is something so large when things mean so much that it's almost impossible for the mind to comprehend.

Especially loss and death. Loss of a parent or loved one is so indescribably hard for everyone. Everyone grieves, just in their own way. The duration and intensity varies from person to person, though, and the more sensitive among us feel that anticipatory grief greatly. It is powerful. Especially for those of us without the comfort of faith. Then it's bleak. There is a reason "angst" follows so fluidly from "existential." Finding the "meaning" he speaks of becomes difficult if all things are accidental and finite. Such is the dilemma of the age of doubt, it would seem.

Anyway, I'm rambling. Thanks for posting that.
This entire post is fantastic. That last paragraph literally (I mean that word the way it’s supposed to be used) choke up when I read it out loud to my girlfriend. 

 
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yeah I get a giant pit in my stomach from time to time.

My wife and I sharing our computer room as an office Monday - Friday. while the kids hog the wifi playing animal crossing.

I been going out only to goto Kroger or the gas station for milk/bread what have you, the tiny little town of 700 I grew up in in southeast Michigan has 4 confirmed cases and 1 death....so not even safe 27 miles from Detroit city limits

My folks are in iso in Florida.

I was "helping" by getting carry out food orders a couple times a week, but I think that's over now....

 
Keep trying. There is something powerful about naming this as grief. It helps us feel what’s inside of us. So many have told me in the past week, “I’m telling my coworkers I’m having a hard time,” or “I cried last night.” When you name it, you feel it and it moves through you. Emotions need motion. It’s important we acknowledge what we go through. One unfortunate byproduct of the self-help movement is we’re the first generation to have feelings about our feelings. We tell ourselves things like, I feel sad, but I shouldn’t feel that; other people have it worse. We can — we should — stop at the first feeling. I feel sad. Let me go for five minutes to feel sad. Your work is to feel your sadness and fear and anger whether or not someone else is feeling something. Fighting it doesn’t help because your body is producing the feeling. If we allow the feelings to happen, they’ll happen in an orderly way, and it empowers us. Then we’re not victims.
While the whole essay was terrific (despite my not generally buying into the Kubler-Ross stages of grief), this paragraph spoke to me the most.  I'm the one who keeps it inside and refuses to not just to "name it" but to acknowledge its existence at all.  That bolded sentence says it all - we don't just experience, but we analyze whether we think what we are experiencing is a worthwhile acknowledgement of our experience.  I love this idea of "stopping at the first feeling" rather than using it to dive into another, unnecessary feeling, which might just be a construct of our world and not an organic feeling anyway.

 
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While the whole essay was terrific (despite my not generally buying into the Kubler-Ross stages of grief), this paragraph spoke to me the most.  I'm the one who keeps it inside and refuses to not just to "name it" but to acknowledge its existence at all.  That bolded sentence says it all - we don't just experience, but we analyze whether we think what we are experiencing is a worthwhile acknowledgement of our experience.  I love this idea of "stopping at the first feeling" rather than using it to dive into another, unnecessary feeling, which might just be a construct of our world and not an organic feeling anyway.
I agree, but my first feeling isnt grief, it is annoyance at the first feeling of most - fear.

 
I agree, but my first feeling isnt grief, it is annoyance at the first feeling of most - fear.
Understood. That's why the thing I've been talking about the most I think is empathy. 

You may not agree with another person's feelings. They might even annoy you. But trying to be empathetic to them is a big deal. If someone is unable to be empathetic, I think the best thing is just remove yourself from the situation as they're not going to be able to be helpful in my opinion.

 
Understood. That's why the thing I've been talking about the most I think is empathy. 

You may not agree with another person's feelings. They might even annoy you. But trying to be empathetic to them is a big deal. If someone is unable to be empathetic, I think the best thing is just remove yourself from the situation as they're not going to be able to be helpful in my opinion.
I am empathetic.. I can understand the feeling.  I am not sympathetic... I don't relate to it, I don't think people's fear is what we need to be supporting and encouraging.  I hate that our world is doing so.  You may not agree with my feelings.... 

I am entirely empathetic and sympathetic to the people starting to feel this in what will be a much more impactful and long lasting way - losing jobs, savings, retirement.  These are the people I am worried about.

 
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While the whole essay was terrific (despite my not generally buying into the Kubler-Ross stages of grief), this paragraph spoke to me the most.  I'm the one who keeps it inside and refuses to not just to "name it" but to acknowledge its existence at all.  That bolded sentence says it all - we don't just experience, but we analyze whether we think what we are experiencing is a worthwhile acknowledgement of our experience.  I love this idea of "stopping at the first feeling" rather than using it to dive into another, unnecessary feeling, which might just be a construct of our world and not an organic feeling anyway.
I think we need to learn how to just feel something better as a society I would agree. But I also believe that emotional maturity requires that we interpret our feelings and understand what triggers them and see them more as a temperature gauge than the reality of our circumstances.

 
Faith as in religion?
Yes, with a caveat. Faith as in a faith in something larger that stipulates that death is not the final destination of our consciousness as understood throughout our lives. That the accumulation of thought and experience ends in death in its finality.

 
Yea, that's where ya lost me in that paragraph. I'm not religious & never felt the need for it for "comfort". I prefer to take comfort in facts & reality.
That's fine. That is your choice in how to approach life. My own personal approach is that since I was about twenty my thinking has been that without God, nothing holds. I mean nothing. No structures, no societies, no vocabulary, no definitions, nothing. How we proceed from nothing holding is a question for the philosophers, and some have dealt with it earnestly, but my layperson's view is that empirical "facts" and "reality" are necessary but not sufficient for knowledge of things like autonomy, freedom, justice, or the the good, properly understood. But I don't want to make this into a religious/atheist debate; one knows there are plenty of those all over the internet. 

 
yeah I get a giant pit in my stomach from time to time.

My wife and I sharing our computer room as an office Monday - Friday. while the kids hog the wifi playing animal crossing.

I been going out only to goto Kroger or the gas station for milk/bread what have you, the tiny little town of 700 I grew up in in southeast Michigan has 4 confirmed cases and 1 death....so not even safe 27 miles from Detroit city limits

My folks are in iso in Florida.

I was "helping" by getting carry out food orders a couple times a week, but I think that's over now....
What city do you live in?  Detroit is a mess as people have not been social distancing.  Now Livonia is a hotspot.

 
Kessler shared his thoughts on why it’s important to acknowledge the grief you may be feeling, how to manage it, and how he believes we will find meaning in it. The conversation is lightly edited for clarity.


I am empathetic.. I can understand the feeling.  I am not sympathetic... I don't relate to it, I don't think people's fear is what we need to be supporting and encouraging.  I hate that our world is doing so.  You may not agree with my feelings.... 

I am entirely empathetic and sympathetic to the people starting to feel this in what will be a much more impactful and long lasting way - losing jobs, savings, retirement.  These are the people I am worried about.
This sentence stood out to me the most, specifically the bolded.  It also addresses your point @matuski.  

We can not control our emotions, people are mistaken with this notion all the time, they are chemical reactions that happen differently, with different intensities and at different times for each of us. Trying to control emotions is a fruitless exercise.  But one needs to realize we are in complete control of how we react to said emotion (except under the most extreme circumstances and even then it’s debatable). You do have power in this respect, and are not helpless to how you feel.  

We are all feeling grief and fear during these unprecedented times, how can we not be.  But feeding the fear or grief will not help.  Taking action will.  That action could be helping a friend deal with their fear or grief, or not hoarding essential goods right now, or that action could be as simple as staying home turning off the electronics and playing a board game with a loved one.  The action can take countless forms, but succumbing to the fear or grief is not one of them.  

 
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matuski said:
I am empathetic.. I can understand the feeling.  I am not sympathetic... I don't relate to it, I don't think people's fear is what we need to be supporting and encouraging.  I hate that our world is doing so.  You may not agree with my feelings.... 

I am entirely empathetic and sympathetic to the people starting to feel this in what will be a much more impactful and long lasting way - losing jobs, savings, retirement.  These are the people I am worried about.
Your posts about this pandemic give me a really visceral reaction. I can feel my muscles get tense, reading you talk about how those economically affected by the quarantine are the ones truly affected, nevermind those other people dying and losing loved ones. It strikes me as callous, myopic and completely selfish. My reaction has a lot more to do with me than it does with you. And I'm not saying it to blast you and start an argument; I'm saying it because I need to acknowledge it, in order to relate to you as a human being.

It seems to me that you're grieving. From what I gather, you've spent your life building something, a business. You've been successful. You've contributed to society in a real, meaningful way. You employ other people that count on you, and you think about being responsible for them. You had a dream, formulated a plan and created something through hard work. You've been successful. By all rights, you should be able to enjoy the fruits of your work and provide well for your family and yourself, into retirement. But, now this pandemic has come, and we all have to quarantine and the economy is extremely volatile and uncertain. Business for you has slowed and you're hemorrhaging cash and will probably have to lay off your employees. That fear of economic ruin is a real, legitimate fear. I acknowledge that, for you and for a lot of others that are going through similar situations. I can only imagine the burden on your shoulders, as you consider laying people off. I'm sorry you're going through it.

Here's what I know of grief and the Kübler-Ross model: it's universal. You will go through every one of those stages, as you grieve. Not in order, and there will be times you think, "Ok, I'm done with that stage," and then BAM! six months later,  that stage pops up again. Grieving is a "self"-ish process. You have to process the personal impact of loss. All the dreams and plans you had for your life and your business are different now- that's a heavy psychological impact. For me, grief has been mourning and letting go of all the milestones I had in my head: sports milestones, teaching my kid to drive, me and my wife taking him off to college, seeing my grandkids, me and my wife actually getting a real honeymoon, just having them be there when I wake up in the morning. All of that stuff wasn't real, but it was what I expected. Life didn't turn out the way I expected, and that really, really hurts. I imagine your business is a lot like having a child- the amount of time and energy that you've poured into it and the hopes and dreams you've had for it (and yourself). I sincerely feel for your loss.

So, here's the upside: you'll eventually get to acceptance, and then you have a choice on how to proceed. You've been successful already, and that doesn't happen by accident. You've learned a lot about what it takes to be successful along the way, and I wager, you'll figure out how to do it again. And hopefully, you're able to stimulate the economy enough to bring a lot of people along with you. At the very least, selfishly, I hope you contribute to the ongoing conversation here with your expertise on business and how/what we need to be thinking about that can lessen the serious economic impact of this pandemic.

Personal note: I don't know you from Adam, and I didn't call you out because of anything personal. Your posts were just the most recent that struck me in the theme of "F your grandma, save my 401k", which I've seen a lot. I couldn't wrap my head around that mindset, but something about your posts and this thread (thanks, Joe!) struck something in me. I wish you, personally the best, and if you don't take anything of value away from me writing this novella, that's ok. I needed to write my thoughts down and get to a place where I could understand why some people seem so fixated on the economy and money. 

 

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